Abstract
Introduction: Dermatophytosis is a disease condition characterized by the infection of keratinized tissues such as epidermis, hair and nails. This condition is caused by a group of closely related filamentous fungi commonly known as Dermatophytes. Epidermophyton, Microsporum and Trichophyton are the genera of dermatophytes implicated in superficial mycoses.
Aims and Objectives: The present study has been taken to assess the epidemiological profile and the fungal species causing Dermatophytosis and to assess the clinical diagnosis with KOH smear positivity and culture positivity.
Methods: In a total of 380 clinically diagnosed cases of Dermatophytosis, specimens (scales, hair, nail clippings) were collected. This material was subjected to Direct Microscopy with KOH and culture test.
Results: Tinea corporis was the most common clinical type (46.1%) followed by Tinea cruris (25.5%). Most of the patients were in the age group of 21-30 years (37.4%) followed by 31-40 years and males were commonly affected than females with a ratio of 1.79:1. Majority of patients were Active workers by occupation (40%) belonging to lower socioeconomic status (73.4%). Overall positivity by culture was 60.5%and by Direct Microscopy (KOH) was 71.6%. Trichophyton mentagrophyte was the predominant species isolated (36.3%) followed by Trichophyton rubrum (18.2%).
Conclusion: Dermatophytosis are infections seen commonly in people who work in hot and humid conditions and those who indulge in strenous work. Clothing patterns and personal hygiene also play an important role. By taking proper precautionary measures the incidence and disease burden can be minimized.
References
- Smitasarma, Ak Borthakur. A clinico-epidemiological study of dermatophytosis in Northeast India. Indian J Dermatol venereal Leprol 2007;73:427-428.
- Peerapur BV, Inamdar AC, Pushpa PV, Srikant K. Clinicomycological study of dermatophytosis in Bijapur. Indian J of Med Microbiol. 2004; 22(4):273-274.
- Bindu V, Pavithran K. Clinico-mycological study of dermatophytosis in Calicut. Indian J Dermatol Venereal Leprol 2002;68:259-261.
- Kanwar AJ, Mamta, Chander J. Superficial fungal infections In: Valia RG Editor. IADVL Textbook and atlas of dermatology 2nd ed, Mumbai: Bhalani Publishing House; 2001. p215-258.
- Nelson MM, Martin AG, Heffernan MP. Superficial fungal infection In: Freedberg IM, Eisen AZ, Wolff K, Austen FK, Gold smith LA, Katz SI Editors. Fitzpatrick’s Dermatologyin general medicine 6th New York: Mc Graw-Hill Medical Publishing Division; 2003. p1989-2005.
- Venkatesan G, Ranjit Singh AJ, Murugesan AG, Janaki C, Gokul Shankar S. Trichophyton rubrum- the predominant etiological agent in human dermatophytosis in Chennai, India. Afr J Microbiol Res 2007;9-12.
- Chinelli, Vianna PA, Sofiatti A, Alexandre, Nunes, Spina R et al. Dermatophyte agents in the city of Sao Paulo from 1992 to 2002.Rev Inst Med Trop Sao Paulo 2003;45(5):259-263.
- S Balamuruganvelu, Sreenivasalu V Reddy, Geethavani Babu. Age and Gender wise Seasonal Distribution of Dermatophytosis in a Tertiary Care Hospital, Puducherry, India. Journal of Clinical and Diagnostic Research. 2019; 13(2): 6-10.
- Mishra N, Rastogi MK, Gahalaut P, Yadav S, Srivastava N, Aggarwal A. Clinicomycological study of dermatophytosis in children: Presenting at a tertiary care center. Indian J Paediatr Dermatol 2018;19:326-30.
- Pathania S, Rudramurthy SM, Narang T, Saikia UN, Dogra S. A prospective study of the epidemiological and clinical patterns of recurrent dermatophytosis at a tertiary care hospital in India. Indian J Dermatol Venereol Leprol 2018;84:678-84.
- Mahajan S, Tilak R, Kaushal SK, Mishra RN, Pandey SS. Clinico-mycological study of dermatophytic infections and their sensitivity to antifungal drugs in a tertiary care center. Indian J Dermatol Venereol Leprol 2017;83:436-40.
- Venkatesh V N, Swapna Kotian. Dermatophytosis: A Clinico-mycological profile from a tertiary care Hospital. Journal of International Medicine and Dentistry 2016; 3(2): 96-102.
- Rao BR, Annapurna E. Dermatophytosis in Visakhapatnam. Indian J Dermatol Venereol 1973;39(5):209-212.
- Siddappa K, Mahipal OA. Dermatophytosis in Davangere. Indian J Dermatol Venereol Leprol 1982;48(5):254-259.
- Bindu V, Pavithran K. Clinico-mycological study of dermatophytosis in Calicut. Indian J dermatol Venereol Leprol 2002;68:259-261.
- Kaviarasan PK, Jaisankar TJ, Thappa DM, Sujatha S. Clinical variations in dermatophytosis in HIV infected patients. Indian J Dermatol Venereol Leprol 2002;68:213-216.
- Singh S, Beena PM. Profile of dermatophyte infections in Baroda. Indian J Dermatol Venereol Leprol 2003;69(4):281-283.
- Poyyamozhi JS, Lakshmanan A. Profile of dermatophyte infections among rural population: a facility based prospective observational study. Int J Community Med Public Health 2018;5:1354-9.
- Sri Sandhya, Ritu Vaish, Kandi Venkata Ramana, G. Sandhya. Epidemiological and Clinico-Mycological Profile of Dermatophytosis in a Tertiary Care Hospital, Karimnagar. J Cont Med A Dent 2018; 6(3): 23-27.
- Janardhan B, Vani G. Clinico mycological study of dermatophytosis. Int J Res Med Sci 2017;5:31-9.
- Vishalakshi S Pandit, Hita Mehta. A hospital-based cross-sectional clinicomycological study of dermatophytosis in a tertiary care centre. Journal of Pakistan Association of Dermatologists. 2017; 27(4): 375-380.
- Ramaraj V, Vijayaraman RS, Rangarajan S, Kindo AJ. Incidence and prevalence of dermatophytosis in and around Chennai, Tamilnadu, India. Int J Res Med Sci 2016;4:695-700.
- Lavanya V, S.S Solabannavar. Clinico-mycological study of Dermatophytosis in a tertiary care centre in Bagalkot. International Journal of Medical and Health Research 2015; 1(2): 63-66.
- Najotra DK, Choudhary V, Sahni B, Choudhary A. Clinico-epidemiological profile of dermatophytosis in district Samba: a cross sectional study from the state of Jammu and Kashmir, India. Medical Science. 2015; 3(1):183-9.
- Belukar DD, Barmai RN, Karthikeyan S, Vadhavkar RS. A Mycological study of Dermatophytosis in Thane. Bombay Hospital Journal 2004; 46:2.
- Guruprasad KY, Javed MW, Roopa C, Ansari H, Takalkar AA. Clinico-epidemiological study of dermatophytosis in teaching hospital of North Karnataka. Int J Res Dermatol 2019;5:106-9.
- Kumar U, Chauhan MPS, Varma K, A clinico epidemiological study of dermatophytosis in a tertiary care center, Ujjain. Indian J Clin Exp Dermatol 2019;5(1):89-92.
- Gupta S.K, Prasad J, Brahmane R. B. Clinico-mycological study of Dermatophytosis at a tertiary medical center of Uttar Pradesh. Trop J Path Micro 2017;3(3):283-288.
Corresponding Author
Venkatesh Mandava
Post Graduate, Department of Dermatology, Kalinga Institute of Medical Sciences, Bhubaneshwar, Odisha
DOI: https://dx.doi.org/10.18535/jmscr/v7i12.76
